PRIZMS CENTER FOR MINDBODY INTEGRATION LLC (NPI# 1629214358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629214358 |
| Entity Type | Organization |
| Organization Name | PRIZMS CENTER FOR MINDBODY INTEGRATION LLC |
| Other Organization Name | PRIZMS COUNSELING AND CONSULTING SERVICES |
| Practice Address |
115 N Poplar St Winston Salem NC 27101-3741 |
| Mailing Address |
Po Box 20323 Winston Salem NC 27120-0323 |
| Practice Telephone | 3367615071 |
| Practice Fax Number | 3367615071 |
| Mailing Telephone | 3367615071 |
| Mailing Fax Number | 3367615071 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |
| Authorized Official Name | MR. LAWRENCE A MORETZ (DIRECTOR/PRESIDENT) |
| Authorized Official Telephone | 3367615071 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2490 | NC | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Prizms Counseling and Consulting Services | Other Name - Individual/Organization |
| Street Address |
115 N POPLAR ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710126735 | Timothy Lee Nash | Social Worker | 115 N Poplar St, Winston Salem, NC 27101-3741 | 2009-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
| 1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
| 1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
| 1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on PRIZMS CENTER FOR MINDBODY INTEGRATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.